| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $1,819.70 | $2,818.38 | |
Aetna
| Professional | $223.87 | $263.03 | $407.38 | |
BCBS
| Facility | $588.84 | $588.84 | $588.84 | |
BCBS
| Professional | $371.54 | $371.54 | $371.54 | |
Molina
| Professional | $21.38 | $38.02 | $50.12 |